The Treatment Itself

We aim to minimise the exposure of the patient, staff to mercury during amalgam removal and to this end we follow the protocol of the International Academy of Oral Medicine and Toxicology (SMART) see www.thesmartchoice.com.

• Rubber dam is used to isolate the treatment area
• High volume suction and CLEAN-UP tips to evacuate the waste
• IQAIR Air filtration to remove mercury from the operating area
• Protective gowns
• Charcoal to line the mouth
• Nose piece and separate oxygen supply for the patient
• Nutritional support to minimise the risk of mercury exposure during the procedure

We also avoid the use of adrenalin containing local anaesthetics whenever possible. All local anaesthetics are mildly toxic but without their use high class dentistry would not be possible. We generally use mepivicaine, which is arguably the least toxic of them.

To this end we follow the protocol of the International Academy of Oral Medicine and Toxicology (SMART) see www.thesmartchoice.com.

https://youtu.be/AO_6W-Hnt64

The operators also protect themselves with a filtered mask, and eyewear

The removal of amalgam commences as follows:

• A new dental bur is used in the hand piece to ensure easy removal
• High volume suction and a continual addition of water spray are supplied to the site where the amalgam is being extracted
• When possible, the amalgam restoration is sectioned and eased free; minimizing as much mercury vapour release as possible. The vitality of the tooth is always a concern, the less trauma to the tooth, the healthier the pulp supplying blood vessels and nerves to healthy teeth. The deeper the restoration, the greater the chance of pulpal degeneration, causing necrosis and subsequent abscess at the apex of the tooth, as well as bone loss.

• Once the amalgam is removed completely the oxygen and protective coverings are taken away

• An immediate inspection under the dental dam occurs. The gauze, cotton roll and activated charcoal, wiped away. Gauze is then used to inspect the floor of the mouth and tongue to make sure no particles seeped under the dam
• Once all mucosal tissues are fully inspected and cleaned, the mouth is flushed with water, again to ensure no ingestion or absorption of amalgam particulates

The tooth is then repaired to a healthy state of form and function.

You can choose from the following restorations

Safe Amalgam Removal using the Smart Technique and replacement filling with Admira Fusion (ceramic based product) £250 per tooth

Admira Fusion (ceramic based product), for small to large filling
£140-£200 per tooth

Additional, Biodentine (can protect the nerve and help repair the tooth prevent a root canal)    £40

Same-Day Laboratory onlays and inlays or colour matched crowns with the Laboratory.    £500 – £900

Laboratory delayed crowns on a repeat visit.  £700

Jaw Cavitation – from   –   £350
Bone Grafting  –  from  –   £350
Ceramic Implant  – from –  £1900
CT Scan  from  –   £100

Materials are taken into consideration as discussed previously on an individual need. Often environmental healthcare providers give direction on the preferred choice of materials to be used through biocompatibility testing. It is the dentist’s ultimate responsibility to advise the patient about the strengths and limitations, if they cannot tolerate some materials. Once the amalgam materials have been removed and the patient detoxes under the supervision of their prescriber, the range and variety of materials increases, allowing the dentist to create the best prognosis for the tooth.

What to expect after Amalgam Removal?

A 2011 Norwegian study showed a 3-year follow-up after amalgam removal with precautions in a treatment group compared to a reference group. It showed significant reductions in intra-oral and general health complaints.

The following, is a list of outcomes from patients over the years comments include that of:

• Patients no longer have a metallic taste in their mouth
• Patients feel as if they have more energy
• Patients are able to concentrate better and make decisions easier (the “brain fog” is gone)
• Their body responds better to other treatments, as if a barrier has been lifted

To achieve effective results, one must take on integrative approach with a physician and health care team, with attention to detoxification and diet over several months. Alongside, laboratory tests to monitor progress.

Any Complex Treatments to fully restore your dental function is overseen and directed by Dr Cox. (To the relevant restorative practitioner within the practice to complete your treatment journey)